Certified Brain Injury Specialist (CBIS) Exam Guide -
y y y y y y y
Part II Updated 100% Verified!!
y y y y y
Whatyisyaypenetratingybrainyinjury?y-
ANSWER>>Anyyinjuryywhichyinvolvesytheypenet
rationyofyayforeignyobject,ymunitionsyfragment,yboneychip,yetc.,ythroughytheyduraymater
Whatyareytheyfourylevelsyofyinjuryyresultingyfromyblastyinjuries?y-
ANSWER>>1)yprimaryyinjury:ydirectyimpactyfromyover-
pressureywave,ycompressesyairyfilledyorgans,ycatapultsybodyybackwards;y2)ysecondaryyi
njury:yenergizedydebrisyoryexplosiveyfragmentsy(shrapnel)yimpactsyheadyorybody;y3)yterti
aryyinjury:ybodyyimpactsywall,yground,yoryobject;
4)yquaternaryyinjury:yinhalationyofytoxicygasesyorysubstances
Whatyareytheyexamplesyofymoodyandyanxietyyassessments?y-
ANSWER>>STAI,y
NeurobehavioralySymptomyInventoryy(NSI),yBriefyBatteryyforyCognitiveyStatusy
Assessment,yetc.
HowymanyyserviceymembersywithyconcussionymayymeetydiagnosticycriteriayforyPTSD?y-
ANSWER>>upytoy44%
y
Whatyareytheycharacteristicsyofyayneurobehavioralyprogram?y-
ANSWER>>residentialys
ettingywithyintensiveybehavioralytxyforyparticipantsywithysevereybehavioralydisturbancesy
whoyrequirey24yhourysupervision
Whatyareytheycharacteristicsyofyayresidentialycommunityyprogram?y-
yANSWER>>residentialysettingywithycommunityyaccess;yintegratedycomprehensivey treat
mentyforythoseywhoycannotyparticipateyasyoutpatientsyandyrequirey24yhourysupervision/s
upport
Whatyareytheycharacteristicsyofycomprehensiveyholisticytreatment?y-
ANSWER>>Dayypr
ograms;yintegrated,ymulti-
,modalyrehabilitation;yneedyforyintensiveyservicesyandybenefityfromyimprovedyawareness
,Whatyareytheycharacteristicsyofyayhome-basedyprogram?y- ANSWER>>education,
tele-support,yhome-
basedytherapeuticyactivity,yavailabilityyofyOPysupplementalyservices;yableytoyresideyatyho
meyandyself-directycare
HowyoftenyisyTBIyscreenedyforymilitaryyserviceymembersyandyveterans?y-
yANSWER>>post-
deployment,yperiodicyhealthyassessments,yandylongitudinally
WhatyisyMEDEVAC?y- ANSWER>>MedicalyEvacuationy-
yevacuationyonyaydedicatedymedicalyvehicley(airyorygroundyambulance)ywithyaytrainedy
medicalyattendantyonyboard
Whatyisytheyprocessytoydetermineymedicalyfitnessyforycontinuedyduty?y-
yANSWER>>involvesybothyaymedicalyandyayphysicalyevaluationyboard;yincludesyreturnytoy
duty,ytemporaryydisabled/retiredylist,yseparateyfromyactiveyduty,ymedicallyyretire
WhatyisytheyDVBIC?y-
ANSWER>>establishedyiny1992,yformerlyyknownyasytheyDefensey
andyVeterans'yHeadyInjuryyProgram);yprovidesyayprogramytoyenhanceyclinicalyquality,yre
search,yandyeducationyacrossytheymilitaryybrainyinjuryytreatmentycontinuum,yincludingyde
velopmentyofyBIyrehabythroughycivilianypartnershipyprogramsyforymodelycommunityyreint
egrationyofyserviceymembersywithyTBI
Whatyisyapoptosis?y- ANSWER>>cellydeath
Whatyisygliosis?y- ANSWER>>Glialycellychangeydueytoydamage
Whaty%yofyperi,ymeno-,yandypost-menopausalywomenyreportysymptomsysimilarytoymTBI?y-
ANSWER>>20%
y
Amongythoseywithymod-sevyTBI,yfemalesywereynotedytoyhave
timesyhigherymortalityyrateyandya
timesyhigheryrateyofypooryoutcomeycomparedytoymaleysurvivors.y-
yANSWER>>1.3;y1.6
, TrueyoryFalse:yThereyareyaynumberyofystudiesythatyindicateyanyimportantyassociationyofy
femaleygenderywithypost-TBIydepression.y- ANSWER>>True
TrueyoryFalse:yInyregardytoytheysameytrauma,yinytheygeneralypopulationyandypost-
TBI,yfemalesyareyknownytoyhaveyloweryratesyofyPTSDyasycomparedytoymales.y-
yANSWER>>False;yfemalesyareyknownytoyhaveyHIGHERyratesyofyPTSD
Howydoytheyvocationalyoutcomesydifferybetweenymenyandywomenypost-TBI?y-
yANSWER>>Whileynearlyy23.6%yofymalesyreturnytoyworkypostyTBI,yonlyy4.4%yofyfemalesy
d
ue,ysuggestingyclearydifferenceyinyoutcomesybyygender
Whatyareysomeychangesyrelatingytoyintimacy/sexualityythatymayyoccurypost-
BI?yANSWER>>difficultiesywithysexualyenergy,ydesireyandydrive;yreductionyinysensationy
andyorgasm;yproblemsywithypositioning/movement;ychangedybodyyimage/confidence;yde
creasedyabilityytoysexuallyysatisfyyaypartner;ydisinhibitionyandyhypersexuality;ybowel/bla
dderyequipment,ydiminishedycapacityyforysexualyideation
WhatyareyprimaryycausesyofysexualydysfunctionyafteryTBI?
ANSWER>>neuroendocriney
changesy+yhypothalamusyandypituitaryydamagey(~40-60%yofypts)
WhatyareysecondaryycausesyofysexualydysfunctionypostyTBI?y-
yANSWER>>physicaly(spasticity,yataxia,yetc.),ycognitivey(attention,yinitiation,ysocialy
communication,yetc.),yemotional/behavioraly(depression,ydependencyybehaviors,yap
athy,yetc.)
WhatyisybenignyneglectyandywhatydoesyityhaveytoydoywithyLGBTypopulations?y-
yANSWER>>aytermycoinedytoydescribeytheystaffydiscomfortyoryinexperienceyinytreatingy
L
GBTypatients.yImpactedybyyheterosexismyandyhomophobia
WhatytwoyissuesymayybeymoreydifficultyforyLGBTyindividualsypost-TBI?y-
ANSWER>>Datingyandycommunityyreintegration
y
Whatyareytheyfourygeneralydomainsyofyinterpersonalyintimacy?y-
ANSWER>>psychological,yemotional,yoperational,yandyshared
y
y y y y y y y
Part II Updated 100% Verified!!
y y y y y
Whatyisyaypenetratingybrainyinjury?y-
ANSWER>>Anyyinjuryywhichyinvolvesytheypenet
rationyofyayforeignyobject,ymunitionsyfragment,yboneychip,yetc.,ythroughytheyduraymater
Whatyareytheyfourylevelsyofyinjuryyresultingyfromyblastyinjuries?y-
ANSWER>>1)yprimaryyinjury:ydirectyimpactyfromyover-
pressureywave,ycompressesyairyfilledyorgans,ycatapultsybodyybackwards;y2)ysecondaryyi
njury:yenergizedydebrisyoryexplosiveyfragmentsy(shrapnel)yimpactsyheadyorybody;y3)yterti
aryyinjury:ybodyyimpactsywall,yground,yoryobject;
4)yquaternaryyinjury:yinhalationyofytoxicygasesyorysubstances
Whatyareytheyexamplesyofymoodyandyanxietyyassessments?y-
ANSWER>>STAI,y
NeurobehavioralySymptomyInventoryy(NSI),yBriefyBatteryyforyCognitiveyStatusy
Assessment,yetc.
HowymanyyserviceymembersywithyconcussionymayymeetydiagnosticycriteriayforyPTSD?y-
ANSWER>>upytoy44%
y
Whatyareytheycharacteristicsyofyayneurobehavioralyprogram?y-
ANSWER>>residentialys
ettingywithyintensiveybehavioralytxyforyparticipantsywithysevereybehavioralydisturbancesy
whoyrequirey24yhourysupervision
Whatyareytheycharacteristicsyofyayresidentialycommunityyprogram?y-
yANSWER>>residentialysettingywithycommunityyaccess;yintegratedycomprehensivey treat
mentyforythoseywhoycannotyparticipateyasyoutpatientsyandyrequirey24yhourysupervision/s
upport
Whatyareytheycharacteristicsyofycomprehensiveyholisticytreatment?y-
ANSWER>>Dayypr
ograms;yintegrated,ymulti-
,modalyrehabilitation;yneedyforyintensiveyservicesyandybenefityfromyimprovedyawareness
,Whatyareytheycharacteristicsyofyayhome-basedyprogram?y- ANSWER>>education,
tele-support,yhome-
basedytherapeuticyactivity,yavailabilityyofyOPysupplementalyservices;yableytoyresideyatyho
meyandyself-directycare
HowyoftenyisyTBIyscreenedyforymilitaryyserviceymembersyandyveterans?y-
yANSWER>>post-
deployment,yperiodicyhealthyassessments,yandylongitudinally
WhatyisyMEDEVAC?y- ANSWER>>MedicalyEvacuationy-
yevacuationyonyaydedicatedymedicalyvehicley(airyorygroundyambulance)ywithyaytrainedy
medicalyattendantyonyboard
Whatyisytheyprocessytoydetermineymedicalyfitnessyforycontinuedyduty?y-
yANSWER>>involvesybothyaymedicalyandyayphysicalyevaluationyboard;yincludesyreturnytoy
duty,ytemporaryydisabled/retiredylist,yseparateyfromyactiveyduty,ymedicallyyretire
WhatyisytheyDVBIC?y-
ANSWER>>establishedyiny1992,yformerlyyknownyasytheyDefensey
andyVeterans'yHeadyInjuryyProgram);yprovidesyayprogramytoyenhanceyclinicalyquality,yre
search,yandyeducationyacrossytheymilitaryybrainyinjuryytreatmentycontinuum,yincludingyde
velopmentyofyBIyrehabythroughycivilianypartnershipyprogramsyforymodelycommunityyreint
egrationyofyserviceymembersywithyTBI
Whatyisyapoptosis?y- ANSWER>>cellydeath
Whatyisygliosis?y- ANSWER>>Glialycellychangeydueytoydamage
Whaty%yofyperi,ymeno-,yandypost-menopausalywomenyreportysymptomsysimilarytoymTBI?y-
ANSWER>>20%
y
Amongythoseywithymod-sevyTBI,yfemalesywereynotedytoyhave
timesyhigherymortalityyrateyandya
timesyhigheryrateyofypooryoutcomeycomparedytoymaleysurvivors.y-
yANSWER>>1.3;y1.6
, TrueyoryFalse:yThereyareyaynumberyofystudiesythatyindicateyanyimportantyassociationyofy
femaleygenderywithypost-TBIydepression.y- ANSWER>>True
TrueyoryFalse:yInyregardytoytheysameytrauma,yinytheygeneralypopulationyandypost-
TBI,yfemalesyareyknownytoyhaveyloweryratesyofyPTSDyasycomparedytoymales.y-
yANSWER>>False;yfemalesyareyknownytoyhaveyHIGHERyratesyofyPTSD
Howydoytheyvocationalyoutcomesydifferybetweenymenyandywomenypost-TBI?y-
yANSWER>>Whileynearlyy23.6%yofymalesyreturnytoyworkypostyTBI,yonlyy4.4%yofyfemalesy
d
ue,ysuggestingyclearydifferenceyinyoutcomesybyygender
Whatyareysomeychangesyrelatingytoyintimacy/sexualityythatymayyoccurypost-
BI?yANSWER>>difficultiesywithysexualyenergy,ydesireyandydrive;yreductionyinysensationy
andyorgasm;yproblemsywithypositioning/movement;ychangedybodyyimage/confidence;yde
creasedyabilityytoysexuallyysatisfyyaypartner;ydisinhibitionyandyhypersexuality;ybowel/bla
dderyequipment,ydiminishedycapacityyforysexualyideation
WhatyareyprimaryycausesyofysexualydysfunctionyafteryTBI?
ANSWER>>neuroendocriney
changesy+yhypothalamusyandypituitaryydamagey(~40-60%yofypts)
WhatyareysecondaryycausesyofysexualydysfunctionypostyTBI?y-
yANSWER>>physicaly(spasticity,yataxia,yetc.),ycognitivey(attention,yinitiation,ysocialy
communication,yetc.),yemotional/behavioraly(depression,ydependencyybehaviors,yap
athy,yetc.)
WhatyisybenignyneglectyandywhatydoesyityhaveytoydoywithyLGBTypopulations?y-
yANSWER>>aytermycoinedytoydescribeytheystaffydiscomfortyoryinexperienceyinytreatingy
L
GBTypatients.yImpactedybyyheterosexismyandyhomophobia
WhatytwoyissuesymayybeymoreydifficultyforyLGBTyindividualsypost-TBI?y-
ANSWER>>Datingyandycommunityyreintegration
y
Whatyareytheyfourygeneralydomainsyofyinterpersonalyintimacy?y-
ANSWER>>psychological,yemotional,yoperational,yandyshared
y
